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Deficiency Records for Pine Haven Care Center Inc
A list of the most recent deficiencies for Pine Haven Care Center Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pine Haven Care Center Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-17 | 2024-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-17 | 2024-08-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-17 | 2024-08-26 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-07-17 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-17 | 2024-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-17 | 2024-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-07-17 | 2024-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-23 | 2024-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-23 | 2024-01-17 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-24 | 2023-10-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-24 | 2023-10-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-24 | 2023-10-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-10-04 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-24 | 2023-10-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-10-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-24 | 2023-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-02 | 2022-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-17 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-03 | 2022-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-03 | 2022-07-11 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-03 | 2022-07-11 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-06-03 | 2022-07-11 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-05-20 | 2022-06-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-22 | 2022-04-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2021-12-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-18 | 2021-12-01 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-14 | 2021-11-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-14 | 2021-11-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-14 | 2021-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-14 | 2021-10-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-14 | 2021-10-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-14 | 2021-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-14 | 2021-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-16 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-16 | 2021-10-29 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-16 | 2021-10-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-16 | 2021-10-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-09-16 | 2021-10-29 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide or obtain dental services for each resident. | Health | 2021-09-16 | 2021-10-29 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-09-16 | 2021-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-16 | 2021-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-16 | 2021-10-29 | N |
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